Where the health care money is, in charts– A profit system increasingly relegates health care into a secondary role in its own industry. Regulators focus far more on the charts than the reality, the care: it’s far easier work for them to review checklists of forms filled out than it is to assess real work in progress. I’ve often wondered if it’s become almost possible to put together a Fictional Medical Records Department without any actual patient care, staff, or facilities, and get it certified as a hospital. Charts have always served multiple audiences, but these days we see efforts to edit them entirely for profit enhancement. How much outright fraud results?

Why We Can’t Let Bias Kill: Reflections PRN – We need to get more comfortable raising the topic of opiate abuse. Prescribed Narcan and other interventions often make the difference between life and death, and thousands are dying. Bonus: what prescribed opiate led to the most ER visits in the last decade? The answer might surprise you.